Predictors of behavioral avoidance during respiratory symptom provocation

被引:12
作者
Benke, Christoph [1 ]
Krause, Elischa [1 ]
Hamm, Alfons O. [1 ]
Pane-Farre, Christiane A. [1 ]
机构
[1] Univ Greifswald, Dept Physiol & Clin Psychol Psychotherapy, Franz Mehring Str 47, D-17487 Greifswald, Germany
关键词
Anxiety sensitivity; Suffocation fear; Breath holding; Dyspnea; Anxiety disorder; BREATH-HOLDING DURATION; ANXIETY SENSITIVITY; SUFFOCATION FEAR; PANIC DISORDER; DISTRESS TOLERANCE; TRAIT ANXIETY; ATTACKS; HYPERVENTILATION; INDIVIDUALS; DIMENSIONS;
D O I
10.1016/j.brat.2018.11.012
中图分类号
B849 [应用心理学];
学科分类号
040203 [应用心理学];
摘要
Excessive anxiety and avoidance during provocation of body symptoms are core features of anxiety-related disorders and might contribute to the development and maintenance of these disorders. Previous studies examined psychological (anxiety sensitivity, fear of suffocation and trait anxiety) and biobehavioral (breath holding time) predictors of reported anxiety during symptom provocation. However, the role of these predictors on avoidance of feared body symptoms remains unclear. Therefore, the present work aimed at investigating the main and interactive effects of psychological and biobehavioral variables in predicting avoidance during provocation of dyspnea that successively increased in severity. 28 of 69 participants prematurely terminated the provocation sequence, thus preventing further progression of symptom provocation. Logistic regressions revealed that higher anxiety sensitivity and lower breath-holding time were significantly associated with avoidance during exposure. Suffocation fear and trait anxiety were not related to avoidance. Moreover, there was a significant interaction between breath-holding time and anxiety sensitivity in predicting avoidance. Participants with a lower breath-holding time showed more avoidance behavior when reporting high as compared to low anxiety sensitivity. The data suggest that anxiety sensitivity and breath-holding time increase the risk to show avoidance and thus might contribute to the development and maintenance of anxiety-related disorders.
引用
收藏
页码:63 / 67
页数:5
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